Correlates of disruptive behavior in severely cognitively impaired nursing home residents

被引:89
作者
Beck, C
Frank, L
Chumbler, NR
O'Sullivan, P
Vogelpohl, TS
Rasin, J
Walls, R
Baldwin, B
机构
[1] Univ Arkansas Med Sci, Coll Nursing, Little Rock, AR 72205 USA
[2] Univ Arkansas Med Sci, Coll Med, Little Rock, AR 72205 USA
[3] John L McClellan Mem Vet Adm Med Ctr, Hlth Serv Res & Dev, Little Rock, AR 72205 USA
[4] MEDTAP Int Inc, Bethesda, MD USA
[5] Western Michigan Univ, Dept Sociol, Kalamazoo, MI 49008 USA
[6] Oregon Hlth & Sci Univ, Sch Nursing, Portland, OR 97201 USA
关键词
cognitive status; verbal behavior; physically aggressive behavior; physically non-aggressive behavior;
D O I
10.1093/geront/38.2.189
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 [临床医学]; 100203 [老年医学]; 100602 [中西医结合临床];
摘要
This article provides information about correlates of "disruptive behaviors" among nursing home residents with dementia. We used averages of multiple observations for a wide range of behaviors (n = 45) across 11 months to gather this information. We placed behaviors into four separate categories: physically aggressive, physically non-aggressive, vocally agitated, and vocally aggressive. Then, we tested associations between these categories and demographic, cognitive, and health variables. Cognitive status and selected demographic variables were associated with the behavior categories; adding health variables did not improve prediction. Lower cognitive status was associated with more disruptive behaviors. Our findings suggest that cognitive status, but not health variables, predicts disruptive behavior among nursing home residents with dementia.
引用
收藏
页码:189 / 198
页数:10
相关论文
共 44 条
[1]
Aarsland D, 1996, AM J PSYCHIAT, V153, P243
[2]
Algase DL., 1996, Am J Alzheimers Dis Other Demen, V11, P10, DOI 10.1177/153331759601100603
[3]
Assessing disruptive behavior in older adults: the Disruptive Behavior Scale [J].
Beck, C ;
Heithoff, K ;
Baldwin, B ;
Cuffel, B ;
OSullivan, P ;
Chumbler, NR .
AGING & MENTAL HEALTH, 1997, 1 (01) :71-79
[4]
BECK C, 1988, AM J ALZHEIMERS CARE, V3, P1
[5]
BECK JG, 1991, J ANXIETY DISORD, V5, P281
[6]
A DESCRIPTIVE STUDY OF PHYSICALLY AGGRESSIVE-BEHAVIOR IN DEMENTIA BY DIRECT OBSERVATION [J].
BRIDGESPARLET, S ;
KNOPMAN, D ;
THOMPSON, T .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1994, 42 (02) :192-197
[7]
DEMENTIA TESTING IN THE ELDERLY [J].
BROWN, JW ;
CHOBOR, A ;
ZINN, F .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1993, 181 (11) :695-698
[8]
Cohen-Mansfield J, 1995, Int Psychogeriatr, V7, P447, DOI 10.1017/S1041610295002195
[9]
Cohen-Mansfield J, 1989, Int Psychogeriatr, V1, P153, DOI 10.1017/S1041610289000165
[10]
Cohen-Mansfield J, 1992, Int Psychogeriatr, V4 Suppl 2, P221